Donahue, Grettel C.
Donahue, Grettel C. is an sole proprietor health care provider with primary practice located at 1111 W Lake St , Addison IL 60101-1101. She recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as her primary health care specialty. Donahue, Grettel C. can be contacted via phone (630) 628-1811.Contact Information
Primary practice address
1111 W Lake St
Addison IL 60101-1101
Phone: (630) 628-1811
Fax: (630) 628-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 036108129 | Illinois |
Profile Details
| NPI number | 1477605913 |
|---|---|
| LBN Legal business name | Donahue, Grettel C. |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | May 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477605913 | NPPES |
| Illinois | MEDICAID | 036108129 |
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